D40.0 — Neoplasm of uncertain behavior of prostate
Is D40.0 billable?
Yes — D40.0 is billable for FY2027. D40.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D40.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D40.0 at a glance
| Code | D40.0 |
|---|---|
| Description | Neoplasm of uncertain behavior of prostate |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D40.0 group to?
D40.0 sits in MDC 12 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 715Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCCsurgical
- 716Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCCsurgical
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D40.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasms of unspecified behavior (D49.-)
How long has D40.0 existed?
D40.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.